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RECEPT PHARMACY #31
CHC11427-00 Matagorda Episcopal Health Outreach Program
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Covered Entity Details
Entity Name
Matagorda Episcopal Health Outreach Program
Subdivision Name
MEHOP Administration and Outreach
Type
HRSA-Funded Health Center
340B ID
CHC11427-00
Entity Address
101 Ave F N
Bay City, TX 77414-3144
Grant Number
H80CS12889
Participating Start Date
1/1/2010
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
RECEPT PHARMACY #31
Pharmacy Address
4703 RICHMOND AVE STE E
HOUSTON, TX 77027-6616
Pharmacy Comments
Contract Details
Approval Date
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Eve Chen, CFO
(979) 245-2008 Ext: 300
Contract Pharmacy Representative
Recept Pharmacy
Samantha Burford, Director of 340B Client Services
(817) 602-2332
Signed By Date
4/13/2021
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